Provider Demographics
NPI:1134984008
Name:CASTRO, CHRISTINE NOEL (LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NOEL
Last Name:CASTRO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-5506
Mailing Address - Country:US
Mailing Address - Phone:951-452-8500
Mailing Address - Fax:
Practice Address - Street 1:1451 MONTIEL RD
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-2234
Practice Address - Country:US
Practice Address - Phone:951-290-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA132836101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health